MAURA BUCKLEY
NPI 1104442276
Social Worker - Clinical in Long Island City, NY

Q: What is Maura Buckley's NPI number?

The NPI number for Maura Buckley is 1104442276. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Q: What is Maura Buckley's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: Is Maura Buckley enrolled in Medicare?

No. Maura Buckley has opted out of Medicare through January 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Maura Buckley was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2020Opted out of Medicare · through Jan 4, 2027

3100 47TH AVE STE 3100, LONG ISLAND CITY, NY 11101(860) 550-3560 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Maura Buckley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAURA BUCKLEY (NPI 1104442276) is an individual clinical provider in Long Island City, New York, licensed in New York (089677) and active in the NPI registry since June 2020. She has opted out of Medicare through January 4, 2027.

NPPES Registry Identity

NPI1104442276

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMAURA BUCKLEY

Location Address3100 47TH AVE STE 3100Long Island City, NY 11101-3050

Mailing Address7 W Elm St Apt A4Greenwich, CT 06830-6470

Phone(860) 550-3560

Sole ProprietorNo

Enumeration DateJune 24, 2020

Last NPPES UpdateNovember 27, 2023

NPPES CertifiedJune 24, 2020

✔ NPI 1104442276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 089677

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

3100 47TH AVE STE 3100, Long Island City, NY 11101

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Maura Buckley has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 4, 2025 through January 4, 2027.

Opt-Out Effective DateJanuary 4, 2025

Opt-Out In Effect ThroughJanuary 4, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $67.00 – $201.98

Typical copayment $0.00 (range $16.75 – $50.49)

Most-billed visit code NA

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROMAN MONDAL PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)